Explain how Health and Human Services formulates its quality ratings for hospitals. Consider at least one advantage and one disadvantage of this published information. USE THESE REFERENCES

The purpose of the Session Long Project is to evaluate quality for managed care organizations and hospitals. The following resource should help you when accessing quality report cards.

Health and Human Services Website:
http://www.medicare.gov/hospitalcompare/search.html
Explain how Health and Human Services formulates its quality ratings for hospitals. Consider at least one advantage and one disadvantage of this published information.
USE THESE REFERENCES:
http://www.medicare.gov/hospitalcompare/search.html
Grembowski, D., Paschane, D., Diehr, P., Katon, W., Martin, D., & Patrick, D. L. (2007). Managed care and patient ratings of the quality of specialty care among patients with pain or depressive symptoms. BMC Health Services Research, 7(1), 22-22. doi:10.1186/1472-6963-7-22
Mukamel, D. B., Mushlin, A. I., Weimer, D., Zwanziger, J., Parker, T., & Indridason, I. (2000). Do quality report cards play a role in HMOs' contracting practices? evidence from new york state. Health Services Research, 35(1 Pt 2), 319-332.
Mukamel, D. B., Weimer, D. L., Spector, W. D., Ladd, H., & Zinn, J. S. (2008). Publication of quality report cards and trends in reported quality measures in nursing homes. Health Services Research, 43(4), 1244-1262. doi:10.1111/j.1475-6773.2007.00829.x
Health
and Human Services publicize health care
quality for every hospital through a star rating system. The purpose of making
the information publicly available is helping
care consumers and providers in making the proper
decision in regard to quality care. By observing the hospital rating for
hospitals, a consumer can select the hospital with quality care. Similar,
hospitals can improve their care for higher ratings. This essay discusses how
HHS formulates the quality ratings for the hospitals and the use of the ratings
in managed care organizations. The essay concludes that the information is
useful in selecting quality care.
Health and Human
Services through Hospital Compare use a
certain methodology in formulating the quality ratings for hospitals. The
hospital rating summarizes up to 57 quality measures. The measures are across 7
quality areas summarized into a single rating for every hospital. When a
reporting threshold is identified, an overall rating for a given hospital is
calculated through the use of measures whose data is available. The measures
can be as few as 9 or as many as 57 (Medicare.gov, 2015).